“Readers will be compelled by this illuminating debut memoir…a captivating” (Kirkus Reviews) account of one woman’s journey to regain her language and identity after a brain aneurysm steals her ability to communicate. Lauren Marks was twenty-seven, touring a show in Scotland with her friends, when an aneurysm ruptured in her brain and left her fighting for her life. She woke up in a hospital with serious deficiencies to her reading, speaking, and writing abilities, and an unfamiliar diagnosis: aphasia. This would be shocking news for anyone, but Lauren was a voracious reader, an actress, director, and at the time of the event, pursuing her PhD. At any other period of her life, this diagnosis would have been a devastating blow. But she woke up…different. The way she perceived her environment and herself had profoundly changed, her entire identity seemed crafted around a language she could no longer access. She returned to her childhood home to recover, grappling with a muted inner monologue and fractured sense of self. Soon after, Lauren began a journal, to chronicle her year following the rupture. A Stitch of Time is the remarkable result, an Oliver Sacks–like case study of a brain slowly piecing itself back together, featuring clinical research about aphasia and linguistics, interwoven with Lauren’s narrative and actual journal entries that marked her progress. Alternating between fascination and frustration, she relearns and re-experiences many of the things we take for granted—reading a book, understanding idioms, even sharing a “first kiss”—and begins to reconcile “The Girl I Used to Be” with “The Girl I Am Now.” For fans of Brain on Fire and My Stroke of Insight, the deeply personal and powerful A Stitch of Time is an “engrossing” (Publishers Weekly) journey of self-discovery, resilience, and hope.
Now presented in full color, this updated edition of Memory Loss, Alzheimer's Disease, and Dementia is designed as a practical guide for clinicians that delivers the latest treatment approaches and research findings for dementia and related illnesses. Drs. Budson and Solomon — both key leaders in the field — cover the essentials of physical and cognitive examinations and laboratory and imaging studies, giving you the tools you need to consistently make accurate diagnoses in this rapidly growing area. Access in-depth coverage of clinically useful diagnostic tests and the latest treatment approaches. Detailed case studies facilitate the management of both common and uncommon conditions. Comprehensive coverage of hot topics such as chronic traumatic encephalopathy, in addition to new criteria on vascular dementia and vascular cognitive impairment. Includes new National Institute on Aging–Alzheimer's Association and DSM-5 criteria for Alzheimer’s Disease and Mild Cognitive Impairment. Learn how to use new diagnostic tests, such as the amyloid imaging scans florbetapir (Amyvid), flutemetamol (Vizamyl), and florbetaben (Neuraceq), which can display amyloid plaques in the living brains of patients. Updated case studies, many complete with videos illustrating common tests, clinical signs, and diagnostic features, are now incorporated into the main text as clinical vignettes for all major disorders. Brand-new chapters on how to approach the differential diagnosis and on primary progressive aphasia. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
'This book is a wonderful idea and it meets a heretofore unmet need. It derives from a particularly interesting database, since it deals with aphasia in aphasic people's own language...It is strongly recommended.' Professor Audrey Holland, Department of Speech Pathology, University of Arizona, USA This book is about living with aphasia - a language impairment which can result from stroke. Drawing on in-depth interviews with fifty aphasic people, it explores the experience of aphasia from the dramatic onset of stroke and loss of language to the gradual revelation of its long-term consequences. The story is told from the perspective of aphasic people themselves. They describe the impact of aphasia upon their employment, education, leisure activities, finances, personal relationships and identity. They describe their changing needs and how well these have been met by health, social care and other services. They talk about what aphasia means to them, the barriers encountered in everyday life and how they cope. The book offers a unique insight into the struggle of living with aphasia, combining startlingly unusual language with a clear interlinking text.
The care of stroke patients has changed dramatically. As well as improvements in the emergency care of the condition, there have been marked advances in our understanding, management and rehabilitation of residual deficits. This book is about the care of stroke patients, focusing on behavioural and cognitive problems. It provides a comprehensive review of the field covering the diagnostic value of these conditions, in the acute and later phases, their requirements in terms of treatment and management and the likelihood and significance of long-term disability. This book will appeal to all clinicians involved in the care of stroke patients, as well as to neuropsychologists, other rehabilitation therapists and research scientists investigating the underlying neuroscience.
The Oxford Handbook of Aphasia and Language Disorders' integrates neural and cognitive perspectives, providing a comprehensive overview of the complex language and communication impairments that arise in individuals with acquired brain damage.
From the Introduction: Sudden and unexpected loss of communication is a terrifying, dehumanizing experience that tears away at the essence of life itself. For decades, speech and language pathologists have sought to better understand it. The term aphasia is used to generally describe a condition whereby speech and language skills are partially or totally lost. Aphasia is the result of damage to or disturbance of those areas in the brain responsible for speech and language functions. A tremendous variety of specific impairments can occur to plague the individual with aphasia. Impairments of comprehension, reading disturbances, writing difficulties, and confusion with numerical processes can accompany oral language problems such as word loss, loss of sentence structure, and confusion in utilizing word forms. . . To understand aphasia at this level alone is to miss the full nature of this terribly debilitating condition. For the effect that aphasia has on the person who must bear its consequences is a profound area of interest that is not always understood and. . . seldom considered. Aphasia, My World Alone has been written to help open this often closed door. . . Helen Wulf has put down on paper a depth of feeling, thought, and analysis concerning the aphasic experience that personalizes the disorder in a gripping, readable manner. She delves so deeply into her aphasia that the reader is actually drawn up into the agony and frustration that is the daily burden of the aphasic individual. Speech pathologists who actively work with aphasic patients will immediately recognize the value of Helen Wulf's analysis of her aphasia. Her reactions to various forms of treatment will also be beneficial, especially to those who are allowing certain aphasics to determine which speech and language deficits are most debilitating and, consequently, which area should be emphasized in the initial stages of treatment. Family and friends of the aphasic will be warmly introduced to those inner thoughts so long hidden from their ears. . . This book. . . should be extremely useful in family counseling. . . As many speech pathologists have indicated, the need for "family treatment" is immediate, real, and often of critical importance. . . As the field of aphasia rehabilitation continues its growth ... our ability to help the aphasic and his family will expand. It is felt that in its small way, this book will help make aphasia less of a world alone. A new chapter has been added to this revised edition in which Helen Wulf assesses her feelings and the progress she has made six to eight years post-stroke.
Offered in print, online, and downloadable formats, this updated edition of Stroke: Pathophysiology, Diagnosis, and Management delivers convenient access to the latest research findings and management approaches for cerebrovascular disease. Picking up from where J. P. Mohr and colleagues left off, a new team of editors - Drs. Grotta, Albers, Broderick, Kasner, Lo, Mendelow, Sacco, and Wong - head the sixth edition of this classic text, which is authored by the world's foremost stroke experts. Comprehensive, expert clinical guidance enables you to recognize the clinical manifestations of stroke, use the latest laboratory and imaging studies to arrive at a diagnosis, and generate an effective medical and surgical treatment plan. Abundant full-color CT images and pathology slides help you make efficient and accurate diagnoses. Data from late-breaking endovascular trials equips you with recent findings. Includes comprehensive coverage of advances in molecular biology of cell death; risk factors and prevention; advances in diagnostics and stroke imaging; and therapeutic options, including a thorough review of thrombolytic agents and emerging data for endovascular therapy. Features brand-new chapters on Intracellular Signaling: Mediators and Protective Responses; The Neurovascular Unit and Responses to Ischemia; Mechanisms of Cerebral Hemorrhage; Stroke Related to Surgery and Other Procedures; Cryptogenic Stroke; and Interventions to Improve Recovery after Stroke. Highlights new information on genetic risk factors; primary prevention of stroke; infectious diseases and stroke; recovery interventions such as robotics, brain stimulation, and telerehabilitation; and trial design. Details advances in diagnostic tests, such as ultrasound, computed tomography (including CT angiography and CT perfusion), MRI (including MR perfusion techniques), and angiography. Includes extracted and highlighted evidence levels. Expert Consult eBook version included with print purchase. This enhanced eBook experience allows you to search all of the text, figures, and references on a variety of devices. The content can also be downloaded to tablets and smart phones for offline use. Combat stroke with the most comprehensive and updated multimedia resource on the pathophysiology, diagnosis, and management of stroke from leaders in the field
Aphasia and Related Neurogenic Language Disorders Rapid advances in neural imaging, particularly in regard to neural plasticity and brain changes, have resulted in an evolving neurorehabilitation paradigm for aphasia and related language disorders. Aphasia and Related Neurogenic Language Disorders has been adopted worldwide as a text for aphasia courses. This new 5th edition by Leonard LaPointe and Julie Stierwalt encompasses state-of-the-art concepts and approaches from an impressive cadre of experts who work in research labs, classrooms, clinics, and hospitals-including the world-renowned Mayo Clinic. As in previous editions, this book embraces a humanistic approach to treatment, addressing multicultural and multilinguistic considerations and social model interventions. The text encompasses a full continuum of cognitive-language disorder management-from everyday practicalities, assessment, and treatment to disorder-specific cases with evidence-based data. Additions to the 5th edition include chapters on pragmatics and discourse, telepractice, digital and electronic advances, funding and reimbursement, and comprehension, syntax, and linguistic based disorders. Key Features: A new chapter on neuroanatomical basics features exquisite illustrations An in-depth look at neurogenic communication disorders from Mayo Clinic provides firsthand insights on treating patients in an acute care hospital setting Discussion and test questions, case studies, and clinical pearls offer invaluable didactic guidance A chapter on expanded traumatic brain injury covers blast injuries and multisystem injuries This is the most comprehensive yet concise resource on aphasia and related disorders available today. New legions of speech language pathology students, residents, course directors, and practitioners will discover a remarkable guide on the treatment of communication disorders.